Deficiency Records for Warr Acres Nursing Center
Updated as of July 01, 2021
This is not the most recent data for Warr Acres Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Warr Acres Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-04-23 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-03-18 | 2021-04-23 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-12 | 2019-10-15 | N |
Respond appropriately to all alleged violations. | Health | 2019-09-12 | 2019-10-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-09-12 | 2019-10-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-10-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-12 | 2019-10-15 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-12 | 2019-10-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-12 | 2019-10-15 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-09-12 | 2019-10-15 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-09-12 | 2019-10-10 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-16 | 2018-10-22 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-10-16 | 2018-10-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2018-10-16 | 2018-10-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-20 | 2018-08-24 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-20 | 2018-08-24 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-20 | 2018-08-24 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-20 | 2018-08-24 | N |
Respond appropriately to all alleged violations. | Health | 2018-06-20 | 2018-08-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-20 | 2018-08-24 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-20 | 2018-08-24 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-06-20 | 2018-08-24 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-06-13 | 2018-07-11 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-06-13 | 2018-07-11 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-13 | 2018-07-11 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-06-13 | 2018-07-11 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-20 | 2018-07-11 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-20 | 2018-07-11 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-20 | 2018-07-11 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-20 | 2018-07-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-20 | 2018-07-11 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-06-20 | 2018-07-11 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-06-20 | 2018-07-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-20 | 2018-07-11 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-06-20 | 2018-07-11 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-20 | 2018-07-11 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-06-20 | 2018-07-11 | N |
Keep complete, dated laboratory records in the resident's record. | Health | 2018-06-20 | 2018-07-11 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-20 | 2018-07-11 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-04 | 2017-04-27 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-04-04 | 2017-04-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-04 | 2017-04-27 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-04-04 | 2017-04-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-04 | 2017-04-27 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-04-10 | 2017-04-27 | N |
Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-04-10 | 2017-04-27 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-10 | 2017-04-27 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-10 | 2017-04-27 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-10 | 2017-04-27 | N |
Provide and implement an infection prevention and control program. | Health | 2020-11-10 | Not Fixed | N |